How much rates vary
Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Aetna Setting Professional Modifier None Typical Low $35.48 Median $36.31 Typical High $40.74 | Professional | None | $35.48 | $36.31 | $40.74 |
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.42 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.13 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $6.17 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $4.07 |
Anthem BCBS Setting Professional Modifier None Typical Low $23.99 Median $32.36 Typical High $51.29 | Professional | None | $23.99 | $32.36 | $51.29 |
Cigna Setting Professional Modifier None Typical Low $29.51 Median $29.51 Typical High $29.51 | Professional | None | $29.51 | $29.51 | $29.51 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $27.54 Median $36.31 Typical High $53.70 | Professional | None | $27.54 | $36.31 | $53.70 |
Martin's Point Setting Facility Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Facility | None | $36.31 | $36.31 | $40.74 |
Martin's Point Setting Professional Modifier None Typical Low $36.31 Median $36.31 Typical High $40.74 | Professional | None | $36.31 | $36.31 | $40.74 |
Martin's Point Setting Professional Modifier 52 · Reduced service Typical Low $17.78 Median $17.78 Typical High $20.42 | Professional | 52 · Reduced service | $17.78 | $17.78 | $20.42 |
Martin's Point Setting Professional Modifier 53 · Discontinued Typical Low $7.24 Median $7.24 Typical High $8.13 | Professional | 53 · Discontinued | $7.24 | $7.24 | $8.13 |
Martin's Point Setting Professional Modifier 55 · Aftercare only Typical Low $5.37 Median $5.37 Typical High $6.17 | Professional | 55 · Aftercare only | $5.37 | $5.37 | $6.17 |
Martin's Point Setting Professional Modifier 56 · Pre-op care only Typical Low $3.63 Median $3.63 Typical High $4.07 | Professional | 56 · Pre-op care only | $3.63 | $3.63 | $4.07 |
United Setting Professional Modifier None Typical Low $26.92 Median $33.11 Typical High $51.29 | Professional | None | $26.92 | $33.11 | $51.29 |
Where Maine sits
The same service costs 3.8 times more in Alaska than in Indiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Maine· 28th of 51
$33.11
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.